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Massachusetts rates for HCPCS 0633T

Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $208.93 / $295.12
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $398.11 / $2,630.27
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $295.12 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $588.84 / $676.08
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $173.78 / $323.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $288.40 / $549.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $398.11 / $2,630.27
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $151.36 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $158.49 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $162.18 / $524.81